Genesee Valley Psychology, Pllc | |
200 White Spruce Blvd Suite 220 Rochester NY 14623 | |
(585) 201-8017 | |
(585) 495-2384 |
Full Name | Genesee Valley Psychology, Pllc |
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Speciality | Clinic/Center |
Location | 200 White Spruce Blvd, Rochester, New York |
Authorized Official Name and Position | Lauren P Wadsworth (DIRECTOR/OWNER OF GENESSE VALLEY PS) |
Authorized Official Contact | 5852701679 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesee Valley Psychology, Pllc 200 White Spruce Blvd Suite 220 Rochester NY 14623 Ph: (585) 201-8017 | Genesee Valley Psychology, Pllc 200 White Spruce Blvd Suite 220 Rochester NY 14623 Ph: (585) 201-8017 |
NPI Number | 1679114169 |
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Provider Enumeration Date | 10/05/2019 |
Last Update Date | 08/05/2022 |
Certification Date | 08/05/2022 |
Medicare PECOS PAC ID | 0648692780 |
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Medicare Enrollment ID | O20200618003102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679114169 | NPI | - | NPPES |
06508112 | Medicaid | NY |
Provider Name | Lauren P Wadsworth |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356861884 PECOS PAC ID: 7810326352 Enrollment ID: I20200716003181 |
Provider Name | Madeline August |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1780230060 PECOS PAC ID: 2961831490 Enrollment ID: I20200716003430 |
Provider Name | Evelyn Pearl Lynch |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861989642 PECOS PAC ID: 3375950470 Enrollment ID: I20210407000706 |
Provider Name | Julia Robin Vitale |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538835400 PECOS PAC ID: 9931506961 Enrollment ID: I20210917001925 |
Provider Name | Tangeria Rashida Adams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366170540 PECOS PAC ID: 7911381504 Enrollment ID: I20220831001016 |
Provider Name | Elliot Straub Spengler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427600303 PECOS PAC ID: 2062874381 Enrollment ID: I20230817001573 |
Provider Name | Sofia P Falco |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992582787 PECOS PAC ID: 0840644464 Enrollment ID: I20230929001395 |
Provider Name | Jenna Leigh Eisen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790032027 PECOS PAC ID: 0446604821 Enrollment ID: I20231004001315 |
Provider Name | Margaret Ann Dorfner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063036903 PECOS PAC ID: 5092163253 Enrollment ID: I20231128002903 |
Provider Name | Jessica Lynn Kumar |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740062678 PECOS PAC ID: 8820448251 Enrollment ID: I20231228000662 |
Provider Name | Sarah Van Munster |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366117962 PECOS PAC ID: 1850742735 Enrollment ID: I20240104001982 |
Provider Name | Ayushma Basnet |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942066030 PECOS PAC ID: 1052750973 Enrollment ID: I20240411002693 |
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